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[普通X线检查在膈肌损伤诊断中的应用可能性]

[Possibilities of general x-ray studies in the diagnosis of wounds of the diaphragm].

作者信息

Beresneva Z A, Evdokimov V N

出版信息

Vestn Rentgenol Radiol. 1996 May-Jun(3):18-24.

PMID:8928398
Abstract

To define the value and potentialities of general X-ray study in the diagnosis of diaphragmatic wounds, the X-ray findings were analyzed in 124 victims with punchred and incised wounds of and in 15 patients with gunshot ones of the diaphragm. The paper outlines X-ray procedure and roentgenological signs of damages to the diaphragm in its single and combined injury. Four groups of victims in whom the frequency and magnitude of X-ray changes were related to the predominant wound of either organs of the chest or abdomen were identified. The paper also shows it important to compare the X-ray findings with the site and nature of a wound. A detailed analysis of the X-ray films of the chest and abdomen made it possible to suspect a thoracic and abdominal wound pattern in 51.7% (in 72 of 139) of the patients studied.

摘要

为了明确普通X线检查在诊断膈肌损伤中的价值和潜力,对124例有膈肌戳伤和切割伤的受害者以及15例有膈肌枪伤的患者的X线检查结果进行了分析。本文概述了膈肌单发和合并损伤时的X线检查方法及损伤的X线征象。确定了四组受害者,其中X线改变的频率和程度与胸部或腹部主要脏器的伤口有关。本文还表明,将X线检查结果与伤口部位和性质进行比较很重要。对胸部和腹部X线片的详细分析使得在51.7%(139例中的72例)的研究患者中怀疑有胸腹部伤口类型成为可能。

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